Samantha Sison Gonzalez
Registered Nurse, Psych/Mental Health in Glendora, CA. Individual provider (NPI-1).
NPI number1023876216
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1023876216
- Entity type
- Individual (NPI-1)
- Name
- Samantha Sison Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2024
- Certification date
- Mar 12, 2024
- Last updated
- Mar 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 95046286 | CA | Yes |
Practice location
150 W Route 66Glendora, CA 91740-6207
Phone 626-852-5000
Mailing address
5017 Agave AveFontana, CA 92336-5962
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All 16 Psychiatric/Mental Health Registered Nurse providers in Glendora · All 1,429 providers in Glendora
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